Get Prima Eye Group Patient Optical Routing Slip

Filling out the Prima Eye Group Patient Optical Routing Slip online is an essential step in ensuring you receive the correct optical services tailored to your needs. This guide will help you navigate through the various sections and fields of the form with ease.

Follow the steps to successfully complete the routing slip online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name in the first blank space provided.
3. In the 'Date' field, input the current date on which you are filling out the form.
4. Indicate your vision coverage by marking the appropriate checkbox — select 'None' or one of the listed providers such as VSP, Eyemed, etc.
5. If there is a change in your prescription (RX), check 'Y' for yes or 'N' for no in the RX Change section.
6. In the 'Add’l pair needs' section, note any additional requirements such as polarized lenses or a spare pair.
7. For 'Dr RX', indicate any special requirements or preferences by checking the relevant boxes (AR, UV, SCR, etc.).
8. Use the 'Notes' section to provide any additional information relevant to your preferences or needs, such as hobbies.
9. For contact lenses (CL), indicate if you need a full-time delivery (FTD) or a yearly supply.
10. Fill out any orders placed in the designated area, including any costs associated.
11. Lastly, add any follow-up information required: who will follow up, when it will occur, and what needs to be discussed.
12. Once all fields are completed, save your changes. You can then download, print, or share the completed form as needed.

Complete your documents online to ensure a smooth process for your optical needs.